Breast implants too low. Do I need a revision? Sounds like surgery was performed incorrectly (Photo)

Dear Straightforward370398,
bottoming out occurs when the implant falls below the current breast crease or inframammary line. It's more likely to happen with inframammary incisions, which is why I try not to use the inframammary approach to any breast surgery.
Bottoming out can also occur if an implant is too large for the breast pocket. That is why it is important to choose an implant size that's correct for your body. I perform numerous measurements in the office to determine optimal implant size for my patient's bodies.
If you are concerned, please check it with your plastic surgeon for reassurance and to further discuss your options and possibility of revision.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

You should be able to have a very beautiful, stale and long lasting result. I would change you to the subfascial position, exchange your implants based on aesthetic goals, and reinforce the new pocket with material that should give you a long lasting result. This is a common problem but needs to be fixed correctly.

Surgery may have been performed correctly, but your tissue may be thin from being stretched with larger implants. You probably need mesh for better support.

Dear Straightforward,
Maybe not so straightforward. You don't mention your "prior Enbloc" in the question. More information is needed on that front. The issue of paying for a revision is strictly between you and your surgeon and, of course, would be subject to his or her policies. Good luck!

Based on your nicely posted photos, you have bottoming of your breast implants, only revision can can help either by doing a type of flap surgery in the crease, tacking it to the ribs or using a mesh in the quadrant to form and inform. Fees are from $10,000-$20,000. Best virtual consult with.

I would highly recommend against removing Breast implants for anyone who has any notion that they want to be augmented.
Removing the breast implants will make re-augmentation in the future difficult and complex.
The chance of having a quality outcome after explantation less likely.
Your situation is too complex for us to make quality assessment.
If this was a primary augmentation, it would be easy to point our fingers at the provider.
Considering your previous operations, then the chance of having equality outcome goes down precipitously.
Hopefully your surgeon told you the complexity and implication of your previous operations.
Personally, I would be reluctant to augment somebody who had their implants previously removed electively.
Perhaps you’re expectations were not set correctly based on all the variables.
To get a proper second opinion consultation, I suggest you schedule those as in person consultations with other plastic surgeons in your community.
For second opinion consultations come prepared.
This means having a complete set of proper before and after pictures for each of your previous operations and copies of your previous operative reports.
If you don’t have those, then ask your previous providers to forward the medical records.
It would be very important to understand exactly what was done during each of your previous procedures, including the position of the implant placement during the first and second augmentations.
Perhaps your surgeon could’ve done a better job.
Perhaps your potential for a quality outcome was not as good as you may have thought.
A quality assessment requires quality information.
Sorry if my response is a bit blunt and less optimistic than you had hoped.
Best,
Mats Hagstrom MD